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Intestinal anastomosis with the biofragmentable anastomosis ring
A Di Castro1, F Biancari, R Brocato
1Department of Emergency Surgery, S. Camillo Hospital, Rome, Italy.
Background:
The fear of anastomotic complications prevents the spread of the use of the biofragmentable anastomosis ring (BAR) in intestinal surgery.
Patients And Methods:
A total of 453 patients underwent intestinal resection and anastomosis with the BAR.
Results:
In all, 514 anastomoses have been carried out, 424 (83%) in elective settings, and 90 (18%) in emergency. Fifty-one patients had multiple anastomoses. Reoperation was performed in 4 patients (1%) who had a complete anastomotic leakage. In 13 patients (3%), anastomotic leakage was partial, and only 1 patient required reoperation. No postoperative intestinal obstruction occurred. Four patients (1%) developed late anastomotic strictures, which have been treated by endoscopic dilation.
Conclusions:
The results of our experience and those of other large clinical series definitely confirm the effectiveness of the BAR method, which seems to be a standard, easy, rapid, and safe technique either in elective or emergency surgery.